DQ: Outline the process for the development of nursing standards of practice for California State
DQ: Outline the process for the development of nursing standards of practice for California State
DQ: Outline the process for the development of nursing standards of practice for California State
The California Nursing Practice Act establishes the Board of Registered Nursing (BRN) and defines the responsibilities and scope of practice for registered nurses, as well as establishing clear rules and regulations for all nurses practicing as California registered nurses. The first California Nursing Practice Act was enacted by the Department of Public Health and signed by the California governor on July 17th, 1939, in Sacramento, California, and went into effect on September 19th, 1939. This set of governed laws was established to outline the scope of practice for licensed C.A registered nurses and has been amended over the years to outline what an RN in California can and cannot do, also known as scope of practice. This was created to protect nurses and patients by better defining what nurses were taught to do and ensuring that they followed the rules and regulations while caring for patients. The rules outlined are considered state laws and have the same strength and power as other laws governing that state. Another entity involved in creating statutes that are formally regulated by state and federal legislators that more specifically define rules and regulations of the nurse’s duty is the United States Congress. Nursing is a decision-making process that lays the groundwork for the profession’s problem-solving abilities. Critical thinking, clinical reasoning, and clinical judgment are all required in the nursing process. The American Nurses Association’s critical thinking and reasoning model governs all ANA standards and scopes of practice (ANA, 2015). As nurses, we understand that the nursing process begins with assessment and progresses through diagnosis, planning, implementation, and evaluation. On a daily basis, the California Nursing Practice Act and California BRN standards of practice influence my specialty area and nursing process. Nurses, for example, are not permitted to intubate a patient if an artificial airway is required; that intervention must be performed by a physician. When it comes to the placement of an epidural for a laboring woman, the MD must do so, even though an RN can remove an epidural with a doctor’s order. While assessing RNs are not permitted to perform invasive procedures, an MD must. RNs must use nursing diagnoses such as “ineffective airway clearance” in the nursing process; RNs cannot medically diagnose patients with disease. When RNs implement and perform interventions, they must follow doctors’ orders and stay within their scope of practice.
The who, where, when, why, and how of nursing practice are used in the process of developing standards of practice. Every standard of practice serves as a guideline for knowledge, skills, judgment, and attitudes. Professional standards ensure that the highest level of nursing care is promoted and that nurses adhere to strict ethical guidelines. The nurse assesses her or his own nursing practice. Keep in mind that current knowledge and current quality nursing care are advantageous when providing the best possible care to the patient.
State-level standards of care are in place. State boards of nursing develop and enforce standards of care at the state level. The American Nurse Credentialing Centre is a national organization. The RN’s standards of practice are established by the state board of nursing to which the nurse belongs. It is each nurse’s responsibility to understand and follow their state’s standards of practice. Each state develops its own standards of practice by following guidelines provided by the American Nurses Association (ANA). The American Nurses Association has a committee on Nursing Practice Standards and Guidelines that is responsible for clarifying the role and relationships associated with the regulation of all nursing practice.
There are five key entities involved in developing a standard of practice. Knowledge, role validation, competence and skill, environment, and ethics are among them (Klein, 2005). Before I can practice nursing, I need to know if I am capable of carrying out these practices in accordance with state policy. Following graduation from Nursing, one should obtain a license to practice nursing from the state in which she intends to practice. For instance, whether I am able to apply my knowledge when caring for adults or children (Klein, 2005).
To demonstrate nursing skill and competence, licensure or certification may be required (Klein, 2005).
I must ensure that the working environment is appropriate and within the scope of my practice. Accepting responsibility for a patient’s treatment has potential ethical ramifications. The practicing nurse must be completely competent in their field.
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